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目的 :介绍游离膈肌瓣包套胸内吻合口的手术方法及其预防吻合口瘘的价值。方法 :食管—胃吻合完毕 ,沿膈肌的切缘取大小适宜膈肌瓣 ,围巾式包套于吻合口外 ,缝合、固定。结果 :全组10 3例采用此方法吻合的患者无吻合口瘘的发生 ,同期采用传统手术方法吻合口瘘的发生率为 2 .4%。结论 :游离膈肌瓣包套胸内吻合口的方法可有效防止吻合口瘘的发生 ,取材方便 ,操作简单。
OBJECTIVE: To introduce the operation method of free diaphragmatic flap for thoracic anastomosis and its value in preventing anastomotic fistula. Methods: Esophageal - gastric anastomosis is completed, along the edge of the diaphragm to take appropriate size diaphragm, scarf wrap in the anastomosis, sutured, fixed. Results: There was no anastomotic fistula in the whole group of 103 patients who were anastomosed by this method. The incidence of anastomotic fistula was 2.4% in the same period. CONCLUSION: Free diaphragmatic flap can be used to prevent thoracic anastomosis. It is easy to draw and easy to operate.